| NPI | 1962794966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN PAVLAWK Owner 989-385-5174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MI 2902007180) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |